Dermatology Flashcards
Rosacea
Rosacea (sometimes referred to as acne rosacea) is a chronic skin disease of unknown aetiology.
Features
typically affects nose, cheeks and forehead
flushing is often first symptom
telangiectasia are common
later develops into persistent erythema with** papules and pustules**
rhinophyma
ocular involvement: blepharitis
sunlight may exacerbate symptoms/
Management
topical metronidazole may be used for mild symptoms (i.e. Limited number of papules and pustules, no plaques)
topical brimonidine gel may be considered for patients with predominant flushing but limited telangiectasia
more severe disease is treated with systemic antibiotics e.g. Oxytetracycline
recommend daily application of a high-factor sunscreen
camouflage creams may help conceal redness
laser therapy may be appropriate for patients with prominent telangiectasia
patients with a rhinophyma should be referred to dermatology
A lupus rash typically spares the nasolabial folds and the tip of the nose. Rhinophyma, papules and pustules are features of Rosacea, as is itching and burning.
